Enter Prize Draw – Composite Prime Rewards

Your Details

First Name *

Last Name *

Applicant Type *

Installer
Product Owner
Other

Specify Applicant Type *

Company Name *

Installer Company Name

Contact Information

Email Address *

Mobile Telephone Number *

Additional Telephone Number

Address

Building & Street *

Address Line 2

Town or City *

County *

Postcode *

Your Composite Prime Purchase

Please ensure these details match those on your receipt/invoice.

Merchant/Retailer Name *

Name entered must match the name on your receipt/invoice.

Location of Merchant/Retailer

There’s additional prizes up for grabs for our merchants/retailers, so please let us know which location/branch you visited to make this purchase.

Staff Member Name

If you know the member of staff that assisted you with your purchase, enter their name here, as they could also be in with a chance of winning a prize.

Invoice/Receipt Number *

Invoice Date *//

Composite Prime Qualifying Products

Total Purchase Value *

The total value of Composite Prime products on your receipt/invoice.

Your Receipt/Invoice *

You must upload your receipt or invoice as proof of purchase.

Click or drag a file to this area to upload.

Age Verification *

Please confirm you are over 18 years of age

Terms & Conditions *

Please confirm you have read and understood the terms and conditions

Enter to Win

Your Details

Contact Information

Address

Your Composite Prime Purchase